MEDICARE: DAVID EDWARD WHITT D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	34007003	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710961438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID EDWARD WHITT D.O.

Provider Business Mailing Address
First Line	:	7694 GLENWOOD AVE
Second Line	:
City	:	CANAL WINCHESTER
State	:	OH
Zip	:	43110-8827
Country	:	US
Telephone Number	:	614-920-9815
Fax Number	:

Provider Business Practice Location Address
First Line	:	7901 DILEY RD
Second Line	:	SUITE 260
City	:	CANAL WINCHESTER
State	:	OH
Zip	:	43110-9612
Country	:	US
Telephone Number	:	614-920-1000
Fax Number	:	614-920-1007

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	11/15/2011

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Directions to “ DAVID EDWARD WHITT D.O.” Practice Location

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